Individual
SAMANTHA CASTLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3468 E BROCKBANK DR # 4759, SALT LAKE CITY, UT 84124-4759
(801) 518-9654
Mailing address
3468 E BROCKBANK DR # 4759, SALT LAKE CITY, UT 84124-4759
(801) 518-9654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9056829-3501
UT
1041C0700X
Clinical Social Worker
9056829-3501
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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